Bill Text: FL S0230 | 2020 | Regular Session | Comm Sub
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Department of Health
Spectrum: Slight Partisan Bill (? 3-1)
Status: (Introduced - Dead) 2020-03-13 - Laid on Table, refer to CS/CS/CS/HB 713 [S0230 Detail]
Download: Florida-2020-S0230-Comm_Sub.html
Bill Title: Department of Health
Spectrum: Slight Partisan Bill (? 3-1)
Status: (Introduced - Dead) 2020-03-13 - Laid on Table, refer to CS/CS/CS/HB 713 [S0230 Detail]
Download: Florida-2020-S0230-Comm_Sub.html
Florida Senate - 2020 CS for SB 230 By the Committee on Health Policy; and Senator Harrell 588-00877-20 2020230c1 1 A bill to be entitled 2 An act relating to the Department of Health; amending 3 s. 381.0042, F.S.; revising the purpose of patient 4 care networks from serving patients with acquired 5 immune deficiency syndrome to serving those with human 6 immunodeficiency virus; conforming provisions to 7 changes made by the act; deleting obsolete language; 8 amending s. 381.4018, F.S.; requiring the department 9 to develop strategies to maximize federal-state 10 partnerships that provide incentives for physicians to 11 practice in medically underserved or rural areas; 12 authorizing the department to adopt certain rules; 13 amending s. 401.35, F.S.; clarifying applicability of 14 certain ambulance rules to include emergency medical 15 services vehicles; deleting the requirement that the 16 department base rules governing medical supplies and 17 equipment required in ambulances and emergency medical 18 services vehicles on a certain association’s 19 standards; deleting the requirement that the 20 department base rules governing ambulance or emergency 21 medical services vehicle design and construction on a 22 certain agency’s standards and instead requiring the 23 department to base such rules on national standards in 24 effect on a certain date; amending s.456.013, F.S.; 25 revising health care practitioner licensure 26 application requirements; authorizing the board or 27 department to issue a temporary license to certain 28 applicants which expires after 60 days; amending s. 29 458.3145, F.S.; revising the list of individuals who 30 may be issued a medical faculty certificate without 31 examination; amending s. 458.3312, F.S.; removing a 32 prohibition against physicians representing themselves 33 as board-certified specialists in dermatology unless 34 the recognizing agency is reviewed and reauthorized on 35 a specified basis by the Board of Medicine; amending 36 s. 459.0055, F.S.; revising licensure requirements for 37 a person seeking licensure or certification as an 38 osteopathic physician; repealing s. 460.4166, F.S., 39 relating to registered chiropractic assistants; 40 amending s. 464.019, F.S.; extending through 2025 the 41 Florida Center for Nursing’s responsibility to study 42 and issue an annual report on the implementation of 43 nursing education programs; amending s. 464.202, F.S.; 44 requiring the Board of Nursing to adopt rules that 45 include disciplinary procedures and standards of 46 practice for certified nursing assistants; amending s. 47 464.203, F.S.; revising certification requirements for 48 nursing assistants; amending s. 464.204, F.S.; 49 revising grounds for board-imposed disciplinary 50 sanctions; amending s. 466.006, F.S.; revising certain 51 examination requirements for applicants seeking dental 52 licensure; reviving, reenacting, and amending s. 53 466.0067, F.S., relating to the application for a 54 health access dental license; reviving, reenacting, 55 and amending s. 466.00671, F.S., relating to the 56 renewal of such a license; reviving and reenacting s. 57 466.00672, F.S., relating to the revocation of such a 58 license; amending s. 466.007, F.S.; revising 59 requirements for examinations of dental hygienists; 60 amending s. 466.017, F.S.; requiring dentists and 61 certified registered dental hygienists to report in 62 writing certain adverse incidents to the department 63 within a specified timeframe; providing for 64 disciplinary action by the Board of Dentistry for 65 violations; defining the term “adverse incident”; 66 authorizing the board to adopt rules; amending s. 67 466.031, F.S.; making technical changes; authorizing 68 an employee or an independent contractor of a dental 69 laboratory, acting as an agent of that dental 70 laboratory, to engage in onsite consultation with a 71 licensed dentist during a dental procedure; amending 72 s. 466.036, F.S.; revising the frequency of dental 73 laboratory inspections during a specified period; 74 amending s. 468.701, F.S.; revising the definition of 75 the term “athletic trainer”; deleting a requirement 76 that is relocated to another section; amending s. 77 468.707, F.S.; revising athletic trainer licensure 78 requirements; amending s. 468.711, F.S.; requiring 79 certain licensees to maintain certification in good 80 standing without lapse as a condition of renewal of 81 their athletic trainer licenses; amending s. 468.713, 82 F.S.; requiring that an athletic trainer work within a 83 specified scope of practice; relocating an existing 84 requirement that was stricken from another section; 85 amending s. 468.723, F.S.; requiring the direct 86 supervision of an athletic training student to be in 87 accordance with rules adopted by the Board of Athletic 88 Training; amending s. 468.803, F.S.; revising 89 orthotic, prosthetic, and pedorthic licensure, 90 registration, and examination requirements; amending 91 s. 480.033, F.S.; revising the definition of the term 92 “apprentice”; amending s. 480.041, F.S.; revising 93 qualifications for licensure as a massage therapist; 94 specifying that massage apprentices licensed before a 95 specified date may continue to perform massage therapy 96 as authorized under their licenses; authorizing 97 massage apprentices to apply for full licensure upon 98 completion of their apprenticeships, under certain 99 conditions; repealing s. 480.042, F.S., relating to 100 examinations for licensure as a massage therapist; 101 amending s. 490.003, F.S.; revising the definition of 102 the terms “doctoral-level psychological education” and 103 “doctoral degree in psychology”; amending s. 490.005, 104 F.S.; revising requirements for licensure by 105 examination of psychologists and school psychologists; 106 amending s. 490.006, F.S.; revising requirements for 107 licensure by endorsement of psychologists and school 108 psychologists; amending s. 491.0045, F.S.; exempting 109 clinical social worker interns, marriage and family 110 therapist interns, and mental health counselor interns 111 from registration requirements, under certain 112 circumstances; amending s. 491.005, F.S.; revising 113 requirements for the licensure by examination of 114 marriage and family therapists; revising requirements 115 for the licensure by examination of mental health 116 counselors; amending s. 491.006, F.S.; revising 117 requirements for licensure by endorsement or 118 certification for specified professions; amending s. 119 491.007, F.S.; removing a biennial intern registration 120 fee; amending s. 491.009, F.S.; authorizing the Board 121 of Clinical Social Work, Marriage and Family Therapy, 122 and Mental Health Counseling or, under certain 123 circumstances, the department to enter an order 124 denying licensure or imposing penalties against an 125 applicant for licensure under certain circumstances; 126 amending ss. 491.0046 and 945.42, F.S.; conforming 127 cross-references; providing an effective date. 128 129 Be It Enacted by the Legislature of the State of Florida: 130 131 Section 1. Section 381.0042, Florida Statutes, is amended 132 to read: 133 381.0042 Patient care for persons with HIV infection.—The 134 department may establish human immunodeficiency virusacquired135immune deficiency syndromepatient care networks in each region 136 of the state where the numbernumbersof cases ofacquired137immune deficiency syndrome and otherhuman immunodeficiency 138 virus transmissioninfectionsjustifies the establishment of 139 cost-effective regional patient care networks. Such networks 140 shall be delineated by rule of the department which shall take 141 into account natural trade areas and centers of medical 142 excellence that specialize in the treatment of human 143 immunodeficiency virusacquired immune deficiency syndrome, as 144 well as available federal, state, and other funds. Each patient 145 care network shall include representation of persons with human 146 immunodeficiency virus infection; health care providers; 147 business interests; the department, including, but not limited 148 to, county health departments; and local units of government. 149 Each network shall plan for the care and treatment of persons 150 with human immunodeficiency virusacquiredimmunedeficiency151syndrome and acquired immune deficiency syndrome related complex152 in a cost-effective, dignified manner thatwhichemphasizes 153 outpatient and home care. Once pereachyear,beginning April1541989,each network shall make its recommendations concerning the 155 needs for patient care to the department. 156 Section 2. Subsection (3) of section 381.4018, Florida 157 Statutes, is amended to read: 158 381.4018 Physician workforce assessment and development.— 159 (3) GENERAL FUNCTIONS.—The department shall maximize the 160 use of existing programs under the jurisdiction of the 161 department and other state agencies and coordinate governmental 162 and nongovernmental stakeholders and resources in order to 163 develop a state strategic plan and assess the implementation of 164 such strategic plan. In developing the state strategic plan, the 165 department shall: 166 (a) Monitor, evaluate, and report on the supply and 167 distribution of physicians licensed under chapter 458 or chapter 168 459. The department shall maintain a database to serve as a 169 statewide source of data concerning the physician workforce. 170 (b) Develop a model and quantify, on an ongoing basis, the 171 adequacy of the state’s current and future physician workforce 172 as reliable data becomes available. Such model must take into 173 account demographics, physician practice status, place of 174 education and training, generational changes, population growth, 175 economic indicators, and issues concerning the “pipeline” into 176 medical education. 177 (c) Develop and recommend strategies to determine whether 178 the number of qualified medical school applicants who might 179 become competent, practicing physicians in this state will be 180 sufficient to meet the capacity of the state’s medical schools. 181 If appropriate, the department shall, working with 182 representatives of appropriate governmental and nongovernmental 183 entities, develop strategies and recommendations and identify 184 best practice programs that introduce health care as a 185 profession and strengthen skills needed for medical school 186 admission for elementary, middle, and high school students, and 187 improve premedical education at the precollege and college level 188 in order to increase this state’s potential pool of medical 189 students. 190 (d) Develop strategies to ensure that the number of 191 graduates from the state’s public and private allopathic and 192 osteopathic medical schools is adequate to meet physician 193 workforce needs, based on the analysis of the physician 194 workforce data, so as to provide a high-quality medical 195 education to students in a manner that recognizes the uniqueness 196 of each new and existing medical school in this state. 197 (e) Pursue strategies and policies to create, expand, and 198 maintain graduate medical education positions in the state based 199 on the analysis of the physician workforce data. Such strategies 200 and policies must take into account the effect of federal 201 funding limitations on the expansion and creation of positions 202 in graduate medical education. The department shall develop 203 options to address such federal funding limitations. The 204 department shall consider options to provide direct state 205 funding for graduate medical education positions in a manner 206 that addresses requirements and needs relative to accreditation 207 of graduate medical education programs. The department shall 208 consider funding residency positions as a means of addressing 209 needed physician specialty areas, rural areas having a shortage 210 of physicians, and areas of ongoing critical need, and as a 211 means of addressing the state’s physician workforce needs based 212 on an ongoing analysis of physician workforce data. 213 (f) Develop strategies to maximize federal and state 214 programs that provide for the use of incentives to attract 215 physicians to this state or retain physicians within the state. 216 Such strategies should explore and maximize federal-state 217 partnerships that provide incentives for physicians to practice 218 in federally designated shortage areas, in otherwise medically 219 underserved areas, or in rural areas. Strategies shall also 220 consider the use of state programs, such as the Medical 221 Education Reimbursement and Loan Repayment Program pursuant to 222 s. 1009.65, which provide for education loan repayment or loan 223 forgiveness and provide monetary incentives for physicians to 224 relocate to underserved areas of the state. 225 (g) Coordinate and enhance activities relative to physician 226 workforce needs, undergraduate medical education, graduate 227 medical education, and reentry of retired military and other 228 physicians into the physician workforce provided by the Division 229 of Medical Quality Assurance, area health education center 230 networks established pursuant to s. 381.0402, and other offices 231 and programs within the department as designated by the State 232 Surgeon General. 233 (h) Work in conjunction with and act as a coordinating body 234 for governmental and nongovernmental stakeholders to address 235 matters relating to the state’s physician workforce assessment 236 and development for the purpose of ensuring an adequate supply 237 of well-trained physicians to meet the state’s future needs. 238 Such governmental stakeholders shall include, but need not be 239 limited to, the State Surgeon General or his or her designee, 240 the Commissioner of Education or his or her designee, the 241 Secretary of Health Care Administration or his or her designee, 242 and the Chancellor of the State University System or his or her 243 designee, and, at the discretion of the department, other 244 representatives of state and local agencies that are involved in 245 assessing, educating, or training the state’s current or future 246 physicians. Other stakeholders shall include, but need not be 247 limited to, organizations representing the state’s public and 248 private allopathic and osteopathic medical schools; 249 organizations representing hospitals and other institutions 250 providing health care, particularly those that currently provide 251 or have an interest in providing accredited medical education 252 and graduate medical education to medical students and medical 253 residents; organizations representing allopathic and osteopathic 254 practicing physicians; and, at the discretion of the department, 255 representatives of other organizations or entities involved in 256 assessing, educating, or training the state’s current or future 257 physicians. 258 (i) Serve as a liaison with other states and federal 259 agencies and programs in order to enhance resources available to 260 the state’s physician workforce and medical education continuum. 261 (j) Act as a clearinghouse for collecting and disseminating 262 information concerning the physician workforce and medical 263 education continuum in this state. 264 265 The department may adopt rules to implement this subsection, 266 including rules that establish guidelines to implement the 267 federal Conrad 30 Waiver Program created under s. 214(l) of the 268 Immigration and Nationality Act. 269 Section 3. Paragraphs (c) and (d) of subsection (1) of 270 section 401.35, Florida Statutes, are amended to read: 271 401.35 Rules.—The department shall adopt rules, including 272 definitions of terms, necessary to carry out the purposes of 273 this part. 274 (1) The rules must provide at least minimum standards 275 governing: 276 (c)GroundAmbulance and emergency medical services vehicle 277 equipment and supplies that a licensee with a valid vehicle 278 permit under s. 401.26 is required to maintain to provide basic 279 life support or advanced life support servicesat least as280comprehensive as those published in the most current edition of281the American College of Surgeons, Committee on Trauma, list of282essential equipment for ambulances, as interpreted by rules of283the department. 284 (d)GroundAmbulance or emergency medical services vehicle 285 design and construction based on national standards in effect on 286 the date the rule is adopted andat least equal to those most287currently recommended by the United States General Services288Administrationas interpreted by department rulerules of the289department. 290 Section 4. Paragraphs (a) and (b) of subsection (1) of 291 section 456.013, Florida Statutes, are amended to read: 292 456.013 Department; general licensing provisions.— 293 (1)(a) Any person desiring to be licensed in a profession 294 within the jurisdiction of the department mustshallapply to 295 the department in writingto take the licensure examination. The 296 application mustshallbe made on a form prepared and furnished 297 by the department. The application form must be available on the 298 Internet,World Wide Weband the department may accept 299 electronically submitted applications. The application shall 300 require the social security number and date of birth of the 301 applicant, except as provided in paragraphs (b) and (c). The 302 form shall be supplemented as needed to reflect any material 303 change in any circumstance or condition stated in the 304 application which takes place between the initial filing of the 305 application and the final grant or denial of the license and 306 which might affect the decision of the department. If an 307 application is submitted electronically, the department may 308 require supplemental materials, including an original signature 309 of the applicant and verification of credentials, to be 310 submitted in a nonelectronic format. An incomplete application 311 shall expire 1 year after initial filing. In order to further 312 the economic development goals of the state, and notwithstanding 313 any law to the contrary, the department may enter into an 314 agreement with the county tax collector for the purpose of 315 appointing the county tax collector as the department’s agent to 316 accept applications for licenses and applications for renewals 317 of licenses. The agreement must specify the time within which 318 the tax collector must forward any applications and accompanying 319 application fees to the department. 320 (b) If an applicant has not been issued a social security 321 number by the Federal Government at the time of application 322 because the applicant is not a citizen or resident of this 323 country, the department may process the application using a 324 unique personal identification number. If such an applicant is 325 otherwise eligible for licensure, the board, or the department 326 when there is no board, may issue a temporary license to the 327 applicant,which shall expire 30 days after issuance unless a 328 social security number is obtained and submitted in writing to 329 the department. A temporary license issued under this paragraph 330 to an applicant who has accepted a position with an accredited 331 residency, internship, or fellowship program in this state and 332 is applying for registration under s. 458.345 or s. 459.021 333 shall expire 60 days after issuance unless the applicant obtains 334 a social security number and submits it in writing to the 335 department. Upon receipt of the applicant’s social security 336 number, the department shall issue a new license, which shall 337 expire at the end of the current biennium. 338 Section 5. Subsection (1) of section 458.3145, Florida 339 Statutes, is amended to read: 340 458.3145 Medical faculty certificate.— 341 (1) A medical faculty certificate may be issued without 342 examination to an individual who: 343 (a) Is a graduate of an accredited medical school or its 344 equivalent, or is a graduate of a foreign medical school listed 345 with the World Health Organization; 346 (b) Holds a valid, current license to practice medicine in 347 another jurisdiction; 348 (c) Has completed the application form and remitted a 349 nonrefundable application fee not to exceed $500; 350 (d) Has completed an approved residency or fellowship of at 351 least 1 year or has received training which has been determined 352 by the board to be equivalent to the 1-year residency 353 requirement; 354 (e) Is at least 21 years of age; 355 (f) Is of good moral character; 356 (g) Has not committed any act in this or any other 357 jurisdiction which would constitute the basis for disciplining a 358 physician under s. 458.331; 359 (h) For any applicant who has graduated from medical school 360 after October 1, 1992, has completed, before entering medical 361 school, the equivalent of 2 academic years of preprofessional, 362 postsecondary education, as determined by rule of the board, 363 which must include, at a minimum, courses in such fields as 364 anatomy, biology, and chemistry; and 365 (i) Has been offered and has accepted a full-time faculty 366 appointment to teach in a program of medicine at: 367 1. The University of Florida; 368 2. The University of Miami; 369 3. The University of South Florida; 370 4. The Florida State University; 371 5. The Florida International University; 372 6. The University of Central Florida; 373 7. The Mayo Clinic College of Medicine and Science in 374 Jacksonville, Florida; 375 8. The Florida Atlantic University;or376 9. The Johns Hopkins All Children’s Hospital in St. 377 Petersburg, Florida; 378 10. Nova Southeastern University; or 379 11. Lake Erie College of Osteopathic Medicine. 380 Section 6. Section 458.3312, Florida Statutes, is amended 381 to read: 382 458.3312 Specialties.—A physician licensed under this 383 chapter may not hold himself or herself out as a board-certified 384 specialist unless the physician has received formal recognition 385 as a specialist from a specialty board of the American Board of 386 Medical Specialties or other recognizing agency that has been 387 approved by the board. However, a physician may indicate the 388 services offered and may state that his or her practice is 389 limited to one or more types of services when this accurately 390 reflects the scope of practice of the physician.A physician may391not hold himself or herself out as a board-certified specialist392in dermatology unless the recognizing agency, whether authorized393in statute or by rule, is triennially reviewed and reauthorized394by the Board of Medicine.395 Section 7. Subsection (1) of section 459.0055, Florida 396 Statutes, is amended to read: 397 459.0055 General licensure requirements.— 398 (1) Except as otherwise provided herein, any person 399 desiring to be licensed or certified as an osteopathic physician 400 pursuant to this chapter shall: 401 (a) Complete an application form and submit the appropriate 402 fee to the department; 403 (b) Be at least 21 years of age; 404 (c) Be of good moral character; 405 (d) Have completed at least 3 years of preprofessional 406 postsecondary education; 407 (e) Have not previously committed any act that would 408 constitute a violation of this chapter, unless the board 409 determines that such act does not adversely affect the 410 applicant’s present ability and fitness to practice osteopathic 411 medicine; 412 (f) Not be under investigation in any jurisdiction for an 413 act that would constitute a violation of this chapter. If, upon 414 completion of such investigation, it is determined that the 415 applicant has committed an act that would constitute a violation 416 of this chapter, the applicant is ineligible for licensure 417 unless the board determines that such act does not adversely 418 affect the applicant’s present ability and fitness to practice 419 osteopathic medicine; 420 (g) Have not had an application for a license to practice 421 osteopathic medicine denied or a license to practice osteopathic 422 medicine revoked, suspended, or otherwise acted against by the 423 licensing authority of any jurisdiction unless the board 424 determines that the grounds on which such action was taken do 425 not adversely affect the applicant’s present ability and fitness 426 to practice osteopathic medicine. A licensing authority’s 427 acceptance of a physician’s relinquishment of license, 428 stipulation, consent order, or other settlement, offered in 429 response to or in anticipation of the filing of administrative 430 charges against the osteopathic physician, shall be considered 431 action against the osteopathic physician’s license; 432 (h) Not have received less than a satisfactory evaluation 433 from an internship, residency, or fellowship training program, 434 unless the board determines that such act does not adversely 435 affect the applicant’s present ability and fitness to practice 436 osteopathic medicine. Such evaluation shall be provided by the 437 director of medical education from the medical training 438 facility; 439 (i) Have met the criteria set forth in s. 459.0075, s. 440 459.0077, or s. 459.021, whichever is applicable; 441 (j) Submit to the department a set of fingerprints on a 442 form and under procedures specified by the department, along 443 with a payment in an amount equal to the costs incurred by the 444 Department of Health for the criminal background check of the 445 applicant; 446 (k) Demonstrate that he or she is a graduate of a medical 447 college recognized and approved by the American Osteopathic 448 Association; 449 (l) Demonstrate that she or he has successfully completed 450 an internship or residencya resident internshipof not less 451 than 12 months in a program accreditedhospital approvedfor 452 this purpose bythe Board of Trustees ofthe American 453 Osteopathic Association or the Accreditation Council for 454 Graduate Medical Educationany other internship program approved455by the board upon a showing of good cause by the applicant. This 456 requirement may be waived for an applicant who matriculated in a 457 college of osteopathic medicine during or before 1948; and 458 (m) Demonstrate that she or he has obtained a passing 459 score, as established by rule of the board, on all parts of the 460 examination conducted by the National Board of Osteopathic 461 Medical Examiners or other examination approved by the board no 462 more than 5 years before making application in this state or, if 463 holding a valid active license in another state, that the 464 initial licensure in the other state occurred no more than 5 465 years after the applicant obtained a passing score on the 466 examination conducted by the National Board of Osteopathic 467 Medical Examiners or other substantially similar examination 468 approved by the board. 469 Section 8. Section 460.4166, Florida Statutes, is repealed. 470 Section 9. Subsection (10) of section 464.019, Florida 471 Statutes, is amended to read: 472 464.019 Approval of nursing education programs.— 473 (10) IMPLEMENTATION STUDY.—The Florida Center for Nursing 474 shall study the administration of this section and submit 475 reports to the Governor, the President of the Senate, and the 476 Speaker of the House of Representatives annually by January 30, 477 through January 30, 20252020. The annual reports shall address 478 the previous academic year; provide data on the measures 479 specified in paragraphs (a) and (b), as such data becomes 480 available; and include an evaluation of such data for purposes 481 of determining whether this section is increasing the 482 availability of nursing education programs and the production of 483 quality nurses. The department and each approved program or 484 accredited program shall comply with requests for data from the 485 Florida Center for Nursing. 486 (a) The Florida Center for Nursing shall evaluate program 487 specific data for each approved program and accredited program 488 conducted in the state, including, but not limited to: 489 1. The number of programs and student slots available. 490 2. The number of student applications submitted, the number 491 of qualified applicants, and the number of students accepted. 492 3. The number of program graduates. 493 4. Program retention rates of students tracked from program 494 entry to graduation. 495 5. Graduate passage rates on the National Council of State 496 Boards of Nursing Licensing Examination. 497 6. The number of graduates who become employed as practical 498 or professional nurses in the state. 499 (b) The Florida Center for Nursing shall evaluate the 500 board’s implementation of the: 501 1. Program application approval process, including, but not 502 limited to, the number of program applications submitted under 503 subsection (1),;the number of program applications approved and 504 denied by the board under subsection (2),;the number of denials 505 of program applications reviewed under chapter 120,;and a 506 description of the outcomes of those reviews. 507 2. Accountability processes, including, but not limited to, 508 the number of programs on probationary status, the number of 509 approved programs for which the program director is required to 510 appear before the board under subsection (5), the number of 511 approved programs terminated by the board, the number of 512 terminations reviewed under chapter 120, and a description of 513 the outcomes of those reviews. 514 (c) The Florida Center for Nursing shall complete an annual 515 assessment of compliance by programs with the accreditation 516 requirements of subsection (11), include in the assessment a 517 determination of the accreditation process status for each 518 program, and submit the assessment as part of the reports 519 required by this subsection. 520 Section 10. Section 464.202, Florida Statutes, is amended 521 to read: 522 464.202 Duties and powers of the board.—The board shall 523 maintain, or contract with or approve another entity to 524 maintain, a state registry of certified nursing assistants. The 525 registry must consist of the name of each certified nursing 526 assistant in this state; other identifying information defined 527 by board rule; certification status; the effective date of 528 certification; other information required by state or federal 529 law; information regarding any crime or any abuse, neglect, or 530 exploitation as provided under chapter 435; and any disciplinary 531 action taken against the certified nursing assistant. The 532 registry shall be accessible to the public, the 533 certificateholder, employers, and other state agencies. The 534 board shall adopt by rule testing procedures for use in 535 certifying nursing assistants and shall adopt rules regulating 536 the practice of certified nursing assistants, including 537 disciplinary procedures and standards of practice, and 538 specifying the scope of practice authorized and the level of 539 supervision required for the practice of certified nursing 540 assistants. The board may contract with or approve another 541 entity or organization to provide the examination services, 542 including the development and administration of examinations. 543 The board shall require that the contract provider offer 544 certified nursing assistant applications via the Internet, and 545 may require the contract provider to accept certified nursing 546 assistant applications for processing via the Internet. The 547 board shall require the contract provider to provide the 548 preliminary results of the certified nursing examination on the 549 date the test is administered. The provider shall pay all 550 reasonable costs and expenses incurred by the board in 551 evaluating the provider’s application and performance during the 552 delivery of services, including examination services and 553 procedures for maintaining the certified nursing assistant 554 registry. 555 Section 11. Paragraph (c) of subsection (1) of section 556 464.203, Florida Statutes, is amended to read: 557 464.203 Certified nursing assistants; certification 558 requirement.— 559 (1) The board shall issue a certificate to practice as a 560 certified nursing assistant to any person who demonstrates a 561 minimum competency to read and write and successfully passes the 562 required background screening pursuant to s. 400.215. If the 563 person has successfully passed the required background screening 564 pursuant to s. 400.215 or s. 408.809 within 90 days before 565 applying for a certificate to practice and the person’s 566 background screening results are not retained in the 567 clearinghouse created under s. 435.12, the board shall waive the 568 requirement that the applicant successfully pass an additional 569 background screening pursuant to s. 400.215. The person must 570 also meet one of the following requirements: 571 (c) Is currently certified in another state or territory of 572 the United States or in the District of Columbia; is listed on 573 that jurisdiction’sstate’scertified nursing assistant 574 registry; and has not been found to have committed abuse, 575 neglect, or exploitation in that jurisdictionstate. 576 Section 12. Paragraph (b) of subsection (1) of section 577 464.204, Florida Statutes, is amended to read: 578 464.204 Denial, suspension, or revocation of certification; 579 disciplinary actions.— 580 (1) The following acts constitute grounds for which the 581 board may impose disciplinary sanctions as specified in 582 subsection (2): 583 (b)IntentionallyViolating any provision of this chapter, 584 chapter 456, or the rules adopted by the board. 585 Section 13. Subsections (3) and (4) of section 466.006, 586 Florida Statutes, are amended to read: 587 466.006 Examination of dentists.— 588 (3) If an applicant is a graduate of a dental college or 589 school not accredited in accordance with paragraph (2)(b) or of 590 a dental college or school not approved by the board, the 591 applicant is not entitled to take the examinations required in 592 this section to practice dentistry until she or he satisfies one 593 of the following: 594 (a) Completes a program of study, as defined by the board 595 by rule, at an accredited American dental school and 596 demonstrates receipt of a D.D.S. or D.M.D. from said school; or 597 (b) Submits proof of having successfully completed at least 598 2 consecutive academic years at a full-time supplemental general 599 dentistry program accredited by the American Dental Association 600 Commission on Dental Accreditation. This program must provide 601 didactic and clinical education at the level of a D.D.S. or 602 D.M.D. program accredited by the American Dental Association 603 Commission on Dental Accreditation. For purposes of this 604 paragraph, a supplemental general dentistry program does not 605 include an advanced education program in a dental specialty. 606 (4) Notwithstanding any other provision of law in chapter 607 456 pertaining to the clinical dental licensure examination or 608 national examinations, to be licensed as a dentist in this 609 state, an applicant must successfully complete both of the 610 following: 611 (a) A written examination on the laws and rules of the 612 state regulating the practice of dentistry.;613 (b)1.A practical or clinical examination, which mustshall614 be the American Dental Licensing Examination produced by the 615 American Board of Dental Examiners, Inc., or its successor 616 entity, if any, that is administered in this stateand graded by617dentists licensed in this state and employed by the department618for just such purpose, provided that the board has attained, and 619 continues to maintain thereafter, representation on the board of 620 directors of the American Board of Dental Examiners, the 621 examination development committee of the American Board of 622 Dental Examiners, and such other committees of the American 623 Board of Dental Examiners as the board deems appropriate by rule 624 to assure that the standards established herein are maintained 625 organizationally. A passing score on the American Dental 626 Licensing Examination administered in this stateand graded by627dentists who are licensed in this stateis valid for 365 days 628 after the date the official examination results are published. 629 1.2.a.As an alternative to such practical or clinical 630 examinationthe requirements of subparagraph 1., an applicant 631 may submit scores from an American Dental Licensing Examination 632 previously administered in a jurisdiction other than this state 633 after October 1, 2011, and such examination results shall be 634 recognized as valid for the purpose of licensure in this state. 635 A passing score on the American Dental Licensing Examination 636 administered out of stateout-of-stateshall be the same as the 637 passing score for the American Dental Licensing Examination 638 administered in this stateand graded by dentists who are639licensed in this state. The examination results are valid for 640 365 days after the date the official examination results are 641 published. The applicant must have completed the examination 642 after October 1, 2011. 643b.This subparagraph may not be given retroactive 644 application. 645 2.3.If the date of an applicant’s passing American Dental 646 Licensing Examination scores from an examination previously 647 administered in a jurisdiction other than this state under 648 subparagraph 1.subparagraph 2.is older than 365 days,then649 such scores areshallneverthelessbe recognized asvalid for 650 the purpose of licensure in this state, but only if the 651 applicant demonstrates that all of the following additional 652 standards have been met: 653 a.(I)The applicant completed the American Dental Licensing 654 Examination after October 1, 2011. 655(II)This sub-subparagraph may not be given retroactive 656 application; 657 b. The applicant graduated from a dental school accredited 658 by the American Dental Association Commission on Dental 659 Accreditation or its successor entity, if any, or any other 660 dental accrediting organization recognized by the United States 661 Department of Education. Provided, however, if the applicant did 662 not graduate from such a dental school, the applicant may submit 663 proof of having successfully completed a full-time supplemental 664 general dentistry program accredited by the American Dental 665 Association Commission on Dental Accreditation of at least 2 666 consecutive academic years at such accredited sponsoring 667 institution. Such program must provide didactic and clinical 668 education at the level of a D.D.S. or D.M.D. program accredited 669 by the American Dental Association Commission on Dental 670 Accreditation. For purposes of this paragraph, a supplemental 671 general dentistry program does not include an advanced education 672 program in a dental specialty; 673 c. The applicant currently possesses a valid and active 674 dental license in good standing, with no restriction, which has 675 never been revoked, suspended, restricted, or otherwise 676 disciplined, from another state or territory of the United 677 States, the District of Columbia, or the Commonwealth of Puerto 678 Rico; 679 d. The applicant submits proof that he or she has never 680 been reported to the National Practitioner Data Bank, the 681 Healthcare Integrity and Protection Data Bank, or the American 682 Association of Dental Boards Clearinghouse. This sub 683 subparagraph does not apply if the applicant successfully 684 appealed to have his or her name removed from the data banks of 685 these agencies; 686 e.(I)(A)In the 5 years immediately preceding the date of687application for licensure in this state,The applicant submits 688must submitproof of having been consecutively engaged in the 689 full-time practice of dentistry in another state or territory of 690 the United States, the District of Columbia, or the Commonwealth 691 of Puerto Rico in the 5 years immediately preceding the date of 692 application for licensure in this state;,or,693 (B) If the applicant has been licensed in another state or 694 territory of the United States, the District of Columbia, or the 695 Commonwealth of Puerto Rico for less than 5 years, the applicant 696 submitsmust submitproof of having been engaged in the full 697 time practice of dentistry since the date of his or her initial 698 licensure. 699 (II) As used in this section, “full-time practice” is 700 defined as a minimum of 1,200 hours per year for each and every 701 year in the consecutive 5-year period or, whenwhereapplicable, 702 the period since initial licensure, and must include any 703 combination of the following: 704 (A) Active clinical practice of dentistry providing direct 705 patient care. 706 (B) Full-time practice as a faculty member employed by a 707 dental or dental hygiene school approved by the board or 708 accredited by the American Dental Association Commission on 709 Dental Accreditation. 710 (C) Full-time practice as a student at a postgraduate 711 dental education program approved by the board or accredited by 712 the American Dental Association Commission on Dental 713 Accreditation. 714 (III) The board shall develop rules to determine what type 715 of proof of full-time practice is required and to recoup the 716 cost to the board of verifying full-time practice under this 717 section. Such proof must, at a minimum, be: 718 (A) Admissible as evidence in an administrative proceeding; 719 (B) Submitted in writing; 720 (C) Submitted by the applicant under oath with penalties of 721 perjury attached; 722 (D) Further documented by an affidavit of someone unrelated 723 to the applicant who is familiar with the applicant’s practice 724 and testifies with particularity that the applicant has been 725 engaged in full-time practice; and 726 (E) Specifically found by the board to be both credible and 727 admissible. 728 (IV) An affidavit of only the applicant is not acceptable 729 proof of full-time practice unless it is further attested to by 730 someone unrelated to the applicant who has personal knowledge of 731 the applicant’s practice. If the board deems it necessary to 732 assess credibility or accuracy, the board may require the 733 applicant or the applicant’s witnesses to appear before the 734 board and give oral testimony under oath; 735 f. The applicant submitsmust submitdocumentation that he 736 or she has completed, or will complete before he or she is 737 licensed, prior to licensurein this state, continuing education 738 equivalent to this state’s requirements for the last full 739 reporting biennium; 740 g. The applicant provesmust provethat he or she has never 741 been convicted of, or pled nolo contendere to, regardless of 742 adjudication, any felony or misdemeanor related to the practice 743 of a health care profession in any jurisdiction; 744 h. The applicant hasmustsuccessfully passedpassa 745 written examination on the laws and rules of this state 746 regulating the practice of dentistry andmust successfully pass747 the computer-based diagnostic skills examination; and 748 i. The applicant submitsmust submitdocumentation that he 749 or she has successfully completed the applicable examination 750 administered by the Joint Commission on National Dental 751 Examinations or its successor organizationNational Board of752Dental Examiners dental examination. 753 Section 14. Notwithstanding the January 1, 2020, repeal of 754 section 466.0067, Florida Statutes, that section is revived, 755 reenacted, and amended, to read: 756 466.0067 Application for health access dental license.—The 757 Legislature finds that there is an important state interest in 758 attracting dentists to practice in underserved health access 759 settings in this state and further, that allowing out-of-state 760 dentists who meet certain criteria to practice in health access 761 settings without the supervision of a dentist licensed in this 762 state is substantially related to achieving this important state 763 interest. Therefore, notwithstanding the requirements of s. 764 466.006, the board shall grant a health access dental license to 765 practice dentistry in this state in health access settings as 766 defined in s. 466.003 to an applicant whothat: 767 (1) Files an appropriate application approved by the board; 768 (2) Pays an application license fee for a health access 769 dental license, laws-and-rule exam fee, and an initial licensure 770 fee. The fees specified in this subsection may not differ from 771 an applicant seeking licensure pursuant to s. 466.006; 772 (3) Has not been convicted of or pled nolo contendere to, 773 regardless of adjudication, any felony or misdemeanor related to 774 the practice of a health care profession; 775 (4) Submits proof of graduation from a dental school 776 accredited by the Commission on Dental Accreditation of the 777 American Dental Association or its successor agency; 778 (5) Submits documentation that she or he has completed, or 779 will obtain beforeprior tolicensure, continuing education 780 equivalent to this state’s requirement for dentists licensed 781 under s. 466.006 for the last full reporting biennium before 782 applying for a health access dental license; 783 (6) Submits proof of her or his successful completion of 784 parts I and II of the dental examination by the National Board 785 of Dental Examiners and a state or regional clinical dental 786 licensing examination that the board has determined effectively 787 measures the applicant’s ability to practice safely; 788 (7) Currently holds a valid, active,dental license in good 789 standing which has not been revoked, suspended, restricted, or 790 otherwise disciplined from another of the United States, the 791 District of Columbia, or a United States territory; 792 (8) Has never had a license revoked from another of the 793 United States, the District of Columbia, or a United States 794 territory; 795 (9) Has never failed the examination specified in s. 796 466.006, unless the applicant was reexamined pursuant to s. 797 466.006 and received a license to practice dentistry in this 798 state; 799 (10) Has not been reported to the National Practitioner 800 Data Bank, unless the applicant successfully appealed to have 801 his or her name removed from the data bank; 802 (11) Submits proof that he or she has been engaged in the 803 active, clinical practice of dentistry providing direct patient 804 care for 5 years immediately preceding the date of application, 805 or in instances when the applicant has graduated from an 806 accredited dental school within the preceding 5 years, submits 807 proof of continuous clinical practice providing direct patient 808 care since graduation; and 809 (12) Has passed an examination covering the laws and rules 810 of the practice of dentistry in this state as described in s. 811 466.006(4)(a). 812 Section 15. Notwithstanding the January 1, 2020, repeal of 813 section 466.00671, Florida Statutes, that section is revived, 814 reenacted, and amended to read: 815 466.00671 Renewal of the health access dental license.— 816 (1) A health access dental licensee shall apply for renewal 817 each biennium. At the time of renewal, the licensee shall sign a 818 statement that she or he has complied with all continuing 819 education requirements of an active dentist licensee. The board 820 shall renew a health access dental license for an applicant who 821that: 822 (a) Submits documentation, as approved by the board, from 823 the employer in the health access setting that the licensee has 824 at all times pertinent remained an employee; 825 (b) Has not been convicted of or pled nolo contendere to, 826 regardless of adjudication, any felony or misdemeanor related to 827 the practice of a health care profession; 828 (c) Has paid a renewal fee set by the board. The fee 829 specified herein may not differ from the renewal fee adopted by 830 the board pursuant to s. 466.013. The department may provide 831 payment for these fees through the dentist’s salary, benefits, 832 or other department funds; 833 (d) Has not failed the examination specified in s. 466.006 834 since initially receiving a health access dental license or 835 since the last renewal; and 836 (e) Has not been reported to the National Practitioner Data 837 Bank, unless the applicant successfully appealed to have his or 838 her name removed from the data bank. 839 (2) The board may undertake measures to independently 840 verify the health access dental licensee’s ongoing employment 841 status in the health access setting. 842 Section 16. Notwithstanding the January 1, 2020, repeal of 843 section 466.00672, Florida Statutes, that section is revived and 844 reenacted to read: 845 466.00672 Revocation of health access dental license.— 846 (1) The board shall revoke a health access dental license 847 upon: 848 (a) The licensee’s termination from employment from a 849 qualifying health access setting; 850 (b) Final agency action determining that the licensee has 851 violated any provision of s. 466.027 or s. 466.028, other than 852 infractions constituting citation offenses or minor violations; 853 or 854 (c) Failure of the Florida dental licensure examination. 855 (2) Failure of an individual licensed pursuant to s. 856 466.0067 to limit the practice of dentistry to health access 857 settings as defined in s. 466.003 constitutes the unlicensed 858 practice of dentistry. 859 Section 17. Paragraph (b) of subsection (4) and paragraph 860 (a) of subsection (6) of section 466.007, Florida Statutes, are 861 amended to read: 862 466.007 Examination of dental hygienists.— 863 (4) Effective July 1, 2012, to be licensed as a dental 864 hygienist in this state, an applicant must successfully complete 865 the following: 866 (b) A practical or clinical examination approved by the 867 board. The examination shall be the Dental Hygiene Examination 868 produced by the American Board of Dental Examiners, Inc. (ADEX) 869 or its successor entity, if any, if the board finds that the 870 successor entity’s clinical examination meets or exceeds the 871 provisions of this section. The board shall approve the ADEX 872 Dental Hygiene Examination if the board has attained and 873 continues to maintain representation on the ADEX House of 874 Representatives, the ADEX Dental Hygiene Examination Development 875 Committee, and such other ADEX Dental Hygiene committees as the 876 board deems appropriate through rulemaking to ensure that the 877 standards established in this section are maintained 878 organizationally. The ADEX Dental Hygiene Examination or the 879 examination produced by its successor entity is a comprehensive 880 examination in which an applicant must demonstrate skills within 881 the dental hygiene scope of practice on a live patient and any 882 other components that the board deems necessary for the 883 applicant to successfully demonstrate competency for the purpose 884 of licensure.The ADEX Dental Hygiene Examination or the885examination by the successor entity administered in this state886shall be graded by dentists and dental hygienists licensed in887this state who are employed by the department for this purpose.888 (6)(a) A passing score on the ADEX Dental Hygiene 889 Examination administered out of state mustshallbe considered 890 the same as a passing score for the ADEX Dental Hygiene 891 Examination administered in this stateand graded by licensed892dentists and dental hygienists. 893 Section 18. Subsections (9) through (15) are added to 894 section 466.017, Florida Statutes, to read: 895 466.017 Prescription of drugs; anesthesia.— 896 (9) Any adverse incident that occurs in an office 897 maintained by a dentist must be reported to the department. The 898 required notification to the department must be submitted in 899 writing by certified mail and postmarked within 48 hours after 900 the incident occurs. 901 (10) A dentist practicing in this state must notify the 902 board in writing by certified mail within 48 hours after any 903 adverse incident that occurs in the dentist’s outpatient 904 facility. A complete written report must be filed with the board 905 within 30 days after the incident occurs. 906 (11) Any certified registered dental hygienist 907 administering local anesthesia must notify the board in writing 908 by registered mail within 48 hours after any adverse incident 909 that was related to or the result of the administration of local 910 anesthesia. A complete written report must be filed with the 911 board within 30 days after the mortality or other adverse 912 incident. 913 (12) A failure by the dentist or dental hygienist to timely 914 and completely comply with all the reporting requirements in 915 this section is the basis for disciplinary action by the board 916 pursuant to s. 466.028(1). 917 (13) The department shall review each adverse incident and 918 determine whether it involved conduct by a health care 919 professional subject to disciplinary action, in which case s. 920 456.073 applies. Disciplinary action, if any, shall be taken by 921 the board under which the health care professional is licensed. 922 (14) As used in subsections (9)-(13), the term “adverse 923 incident” means any mortality that occurs during or as the 924 result of a dental procedure, or an incident that results in a 925 temporary or permanent physical or mental injury that requires 926 hospitalization or emergency room treatment of a dental patient 927 which occurs during or as a direct result of the use of general 928 anesthesia, deep sedation, moderate sedation, pediatric moderate 929 sedation, oral sedation, minimal sedation (anxiolysis), nitrous 930 oxide, or local anesthesia. 931 (15) The board may adopt rules to administer this section. 932 Section 19. Section 466.031, Florida Statutes, is amended 933 to read: 934 466.031“Dental laboratorieslaboratory” defined.— 935 (1) As used in this chapter, the term “dental laboratory” 936as used in this chapter:937(1)includes any person, firm, or corporation thatwho938 performs for a fee of any kind, gratuitously, or otherwise, 939 directly or through an agent or an employee, by any means or 940 method, orwho in any waysupplies or manufactures artificial 941 substitutes for the natural teeth;, or whofurnishes, supplies, 942 constructs, or reproduces or repairs any prosthetic denture, 943 bridge, or appliance to be worn in the human mouth; orwhoin 944 any way representsholdsitselfoutas a dental laboratory. 945(2)The term does not include aExcludes anydental 946 laboratory technician who constructs or repairs dental 947 prosthetic appliances in the office of a licensed dentist 948 exclusively for thatsuchdentistonly andunder her or his 949 supervision and work order. 950 (2) An employee or independent contractor of a dental 951 laboratory, acting as an agent of that dental laboratory, may 952 engage in onsite consultation with a licensed dentist during a 953 dental procedure. 954 Section 20. Section 466.036, Florida Statutes, is amended 955 to read: 956 466.036 Information; periodic inspections; equipment and 957 supplies.—The department may require from the applicant for a 958 registration certificate to operate a dental laboratory any 959 information necessary to carry out the purpose of this chapter, 960 including proof that the applicant has the equipment and 961 supplies necessary to operate as determined by rule of the 962 department, and shall require periodic inspection of all dental 963 laboratories operating in this state at least once each biennial 964 registration period. Such inspections mustshallinclude, but 965 need not be limited to, inspection of sanitary conditions, 966 equipment, supplies, and facilities on the premises. The 967 department shall specify dental equipment and supplies that are 968 not allowedpermittedin a registered dental laboratory. 969 Section 21. Subsection (1) of section 468.701, Florida 970 Statutes, is amended to read: 971 468.701 Definitions.—As used in this part, the term: 972 (1) “Athletic trainer” means a person licensed under this 973 part who has met the requirements ofunderthis part, including 974 the education requirements establishedas set forthby the 975 Commission on Accreditation of Athletic Training Education or 976 its successor organization and necessary credentials from the 977 Board of Certification.An individual who is licensed as an978athletic trainer may not provide, offer to provide, or represent979that he or she is qualified to provide any care or services that980he or she lacks the education, training, or experience to981provide, or that he or she is otherwise prohibited by law from982providing.983 Section 22. Section 468.707, Florida Statutes, is amended 984 to read: 985 468.707 Licensure requirements.—Any person desiring to be 986 licensed as an athletic trainer shall apply to the department on 987 a form approved by the department. An applicant shall also 988 provide records or other evidence, as determined by the board, 989 to prove he or she has met the requirements of this section. The 990 department shall license each applicant who: 991 (1) Has completed the application form and remitted the 992 required fees. 993 (2)For a person who applies on or after July 1, 2016,Has 994 submitted to background screening pursuant to s. 456.0135. The 995 board may require a background screening for an applicant whose 996 license has expired or who is undergoing disciplinary action. 997 (3)(a) Has obtained, at a minimum, a bachelor’s 998baccalaureate orhigherdegree from a college or university 999 professional athletic training degree program accredited by the 1000 Commission on Accreditation of Athletic Training Education or 1001 its successor organization recognized and approved by the United 1002 States Department of Education or the Commission on Recognition 1003 of Postsecondary Accreditation, approved by the board, or 1004 recognized by the Board of Certification, and has passed the 1005 national examination to be certified by the Board of 1006 Certification; or.1007 (b)(4)Has obtained, at a minimum, a bachelor’s degree, has 1008 completed the Board of Certification internship requirements, 1009 and holdsIf graduated before 2004,hasa current certification 1010 from the Board of Certification. 1011 (4)(5)Has current certification in both cardiopulmonary 1012 resuscitation and the use of an automated external defibrillator 1013 set forth in the continuing education requirements as determined 1014 by the board pursuant to s. 468.711. 1015 (5)(6)Has completed any other requirements as determined 1016 by the department and approved by the board. 1017 Section 23. Subsection (3) of section 468.711, Florida 1018 Statutes, is amended to read: 1019 468.711 Renewal of license; continuing education.— 1020 (3) If initially licensed after January 1, 1998, the 1021 licensee must be currently certified by the Board of 1022 Certification or its successor agency and maintain that 1023 certification in good standing without lapse. 1024 Section 24. Section 468.713, Florida Statutes, is amended 1025 to read: 1026 468.713 Responsibilities of athletic trainers.— 1027 (1) An athletic trainer shall practice under the direction 1028 of a physician licensed under chapter 458, chapter 459, chapter 1029 460, or otherwise authorized by Florida law to practice 1030 medicine. The physician shall communicate his or her direction 1031 through oral or written prescriptions or protocols as deemed 1032 appropriate by the physician for the provision of services and 1033 care by the athletic trainer. An athletic trainer shall provide 1034 service or care in the manner dictated by the physician. 1035 (2) An athletic trainer shall work within his or her 1036 allowable scope of practice as specified in board rule under s. 1037 468.705. An athletic trainer may not provide, offer to provide, 1038 or represent that he or she is qualified to provide any care or 1039 services that he or she lacks the education, training, or 1040 experience to provide or that he or she is otherwise prohibited 1041 by law from providing. 1042 Section 25. Subsection (2) of section 468.723, Florida 1043 Statutes, is amended to read: 1044 468.723 Exemptions.—This part does not prohibitpreventor 1045 restrict: 1046 (2) An athletic training student acting under the direct 1047 supervision of a licensed athletic trainer. For purposes of this 1048 subsection, “direct supervision” means the physical presence of 1049 an athletic trainer so that the athletic trainer is immediately 1050 available to the athletic training student and able to intervene 1051 on behalf of the athletic training student. The supervision must 1052 comply with board rulein accordance withthe standards set1053forth by the Commission on Accreditation of Athletic Training1054Education or its successor. 1055 Section 26. Subsections (1), (3), and (4) of section 1056 468.803, Florida Statutes, are amended to read: 1057 468.803 License, registration, and examination 1058 requirements.— 1059 (1) The department shall issue a license to practice 1060 orthotics, prosthetics, or pedorthics, or a registration for a 1061 resident to practice orthotics or prosthetics, to qualified 1062 applicants. Licenses to practiceshall be granted independently1063inorthotics, prosthetics, or pedorthics must be granted 1064 independently, but a person may be licensed in more than one 1065 such discipline, and a prosthetist-orthotist license may be 1066 granted to persons meeting the requirements for licensure both 1067 as a prosthetist and as an orthotistlicense. Registrations to 1068 practiceshall be granted independentlyinorthotics or 1069 prosthetics must be granted independently, and a person may be 1070 registered in both disciplinesfieldsat the same time or 1071 jointly in orthotics and prosthetics as a dual registration. 1072 (3) A person seeking to attain therequiredorthotics or 1073 prosthetics experience required for licensure in this state must 1074 be approved by the board and registered as a resident by the 1075 department. Although a registration may be held in both 1076 disciplinespractice fields, for independent registrations the 1077 board mayshallnot approve a second registration until at least 1078 1 year after the issuance of the first registration. 1079 Notwithstanding subsection (2), a personan applicantwho has 1080 been approved by the board and registered by the department in 1081 one disciplinepractice fieldmay apply for registration in the 1082 second disciplinepractice fieldwithout an additional state or 1083 national criminal history check during the period in which the 1084 first registration is valid. Each independent registration or 1085 dual registration is valid for 2 years afterfromthe date of 1086 issuance unless otherwise revoked by the department upon 1087 recommendation of the board. The board shall set a registration 1088 fee not to exceed $500 to be paid by the applicant. A 1089 registration may be renewed once by the department upon 1090 recommendation of the board for a period no longer than 1 year, 1091 as such renewal is defined by the board by rule. The 1092registrationrenewal fee mayshallnot exceed one-half the 1093 current registration fee. To be considered by the board for 1094 approval of registration as a resident, the applicant must have 1095 one of the following: 1096 (a) A Bachelor of Science or higher-level postgraduate 1097 degree in orthotics and prosthetics from a regionally accredited 1098 college or university recognized by the Commission on 1099 Accreditation of Allied Health Education Programs.or, at1100 (b) A minimum of,a bachelor’s degree from a regionally 1101 accredited college or university and a certificate in orthotics 1102 or prosthetics from a program recognized by the Commission on 1103 Accreditation of Allied Health Education Programs, or its 1104 equivalent, as determined by the board.;or1105 (c) A minimum of a bachelor’s degree from a regionally 1106 accredited college or university and a dual certificate in both 1107 orthotics and prosthetics from programs recognized by the 1108 Commission on Accreditation of Allied Health Education Programs, 1109 or its equivalent, as determined by the board. 1110(b)A Bachelor of Science or higher-level postgraduate1111degree in Orthotics and Prosthetics from a regionally accredited1112college or university recognized by the Commission on1113Accreditation of Allied Health Education Programs or, at a1114minimum, a bachelor’s degree from a regionally accredited1115college or university and a certificate in prosthetics from a1116program recognized by the Commission on Accreditation of Allied1117Health Education Programs, or its equivalent, as determined by1118the board.1119 (4) The department may develop and administer a state 1120 examination for an orthotist or a prosthetist license, or the 1121 board may approve the existing examination of a national 1122 standards organization. The examination must be predicated on a 1123 minimum of a baccalaureate-level education and formalized 1124 specialized training in the appropriate field. Each examination 1125 must demonstrate a minimum level of competence in basic 1126 scientific knowledge, written problem solving, and practical 1127 clinical patient management. The board shall require an 1128 examination fee not to exceed the actual cost to the board in 1129 developing, administering, and approving the examination, which 1130 fee must be paid by the applicant. To be considered by the board 1131 for examination, the applicant must have: 1132 (a) For an examination in orthotics: 1133 1. A Bachelor of Science or higher-level postgraduate 1134 degree in orthotics and prosthetics from a regionally accredited 1135 college or university recognized by the Commission on 1136 Accreditation of Allied Health Education Programs or, at a 1137 minimum, a bachelor’s degree from a regionally accredited 1138 college or university and a certificate in orthotics from a 1139 program recognized by the Commission on Accreditation of Allied 1140 Health Education Programs, or its equivalent, as determined by 1141 the board; and 1142 2. An approved orthotics internship of 1 year of qualified 1143 experience, as determined by the board, or an orthotic residency 1144 or dual residency program recognized by the board. 1145 (b) For an examination in prosthetics: 1146 1. A Bachelor of Science or higher-level postgraduate 1147 degree in orthotics and prosthetics from a regionally accredited 1148 college or university recognized by the Commission on 1149 Accreditation of Allied Health Education Programs or, at a 1150 minimum, a bachelor’s degree from a regionally accredited 1151 college or university and a certificate in prosthetics from a 1152 program recognized by the Commission on Accreditation of Allied 1153 Health Education Programs, or its equivalent, as determined by 1154 the board; and 1155 2. An approved prosthetics internship of 1 year of 1156 qualified experience, as determined by the board, or a 1157 prosthetic residency or dual residency program recognized by the 1158 board. 1159 Section 27. Subsection (5) of section 480.033, Florida 1160 Statutes, is amended to read: 1161 480.033 Definitions.—As used in this act: 1162 (5) “Apprentice” means a person approved by the board to 1163 study colonic irrigationmassageunder the instruction of a 1164 licensed massage therapist practicing colonic irrigation. 1165 Section 28. Subsections (1) and (2) of section 480.041, 1166 Florida Statutes, are amended, and subsection (8) is added to 1167 that section, to read: 1168 480.041 Massage therapists; qualifications; licensure; 1169 endorsement.— 1170 (1) Any person is qualified for licensure as a massage 1171 therapist under this act who: 1172 (a) Is at least 18 years of age or has received a high 1173 school diploma or high school equivalency diploma; 1174 (b) Has completed a course of study at a board-approved 1175 massage schoolor has completed an apprenticeship programthat 1176 meets standards adopted by the board; and 1177 (c) Has received a passing grade on a nationalan1178 examination designatedadministeredby the boarddepartment. 1179 (2) Every person desiring to be examined for licensure as a 1180 massage therapist mustshallapply to the department in writing 1181 upon forms prepared and furnished by the department. Such 1182 applicants areshall besubject tothe provisions ofs. 1183 480.046(1).Applicants may take an examination administered by1184the department only upon meeting the requirements of this1185section as determined by the board.1186 (8) A person issued a license as a massage apprentice 1187 before July 1, 2020, may continue that apprenticeship and 1188 perform massage therapy as authorized under that license until 1189 it expires. Upon completion of the apprenticeship, which must 1190 occur before July 1, 2023, a massage apprentice may apply to the 1191 board for full licensure and be granted a license if all other 1192 applicable licensure requirements are met. 1193 Section 29. Section 480.042, Florida Statutes, is repealed. 1194 Section 30. Subsection (3) of section 490.003, Florida 1195 Statutes, is amended to read: 1196 490.003 Definitions.—As used in this chapter: 1197 (3)(a)Prior to July 1, 1999, “doctoral-level psychological1198education” and “doctoral degree in psychology” mean a Psy.D., an1199Ed.D. in psychology, or a Ph.D. in psychology from:12001.An educational institution which, at the time the1201applicant was enrolled and graduated, had institutional1202accreditation from an agency recognized and approved by the1203United States Department of Education or was recognized as a1204member in good standing with the Association of Universities and1205Colleges of Canada; and12062.A psychology program within that educational institution1207which, at the time the applicant was enrolled and graduated, had1208programmatic accreditation from an accrediting agency recognized1209and approved by the United States Department of Education or was1210comparable to such programs.1211(b)Effective July 1, 1999, “doctoral-level psychological 1212 education” and “doctoral degree in psychology” mean a Psy.D., an 1213 Ed.D. in psychology, or a Ph.D. in psychology from a psychology 1214 program at:12151.an educational institution thatwhich, at the time the 1216 applicant was enrolled and graduated: 1217 (a),Had institutional accreditation from an agency 1218 recognized and approved by the United States Department of 1219 Education or was recognized as a member in good standing with 1220 the Association of Universities and Colleges of Canada; and 1221 (b)2.Apsychology program within that educational1222institution which, at the time the applicant was enrolled and1223graduated,Had programmatic accreditation from the American 1224 Psychological Associationan agency recognized and approved by1225the United States Department of Education. 1226 Section 31. Paragraph (b) of subsection (1) and paragraph 1227 (b) of subsection (2) of section 490.005, Florida Statutes, are 1228 amended to read: 1229 490.005 Licensure by examination.— 1230 (1) Any person desiring to be licensed as a psychologist 1231 shall apply to the department to take the licensure examination. 1232 The department shall license each applicant who the board 1233 certifies has: 1234 (b) Submitted proof satisfactory to the board that the 1235 applicant has received: 1236 1.ReceivedDoctoral-level psychological education, as1237defined in s. 490.003(3); or 1238 2.ReceivedThe equivalent of a doctoral-level 1239 psychological education, as defined in s. 490.003(3), from a 1240 program at a school or university located outside the United 1241 States of Americaand Canada,which was officially recognized by 1242 the government of the country in which it is located as an 1243 institution or program to train students to practice 1244 professional psychology. The applicant has the burden of 1245 establishing that this requirement hasthe requirements of this1246provision havebeen metshall be upon the applicant;12473.Received and submitted to the board, prior to July 1,12481999, certification of an augmented doctoral-level psychological1249education from the program director of a doctoral-level1250psychology program accredited by a programmatic agency1251recognized and approved by the United States Department of1252Education; or12534.Received and submitted to the board, prior to August 31,12542001, certification of a doctoral-level program that at the time1255the applicant was enrolled and graduated maintained a standard1256of education and training comparable to the standard of training1257of programs accredited by a programmatic agency recognized and1258approved by the United States Department of Education. Such1259certification of comparability shall be provided by the program1260director of a doctoral-level psychology program accredited by a1261programmatic agency recognized and approved by the United States1262Department of Education. 1263 (2) Any person desiring to be licensed as a school 1264 psychologist shall apply to the department to take the licensure 1265 examination. The department shall license each applicant who the 1266 department certifies has: 1267 (b) Submitted satisfactory proof to the department that the 1268 applicant: 1269 1. Has received a doctorate, specialist, or equivalent 1270 degree from a program primarily psychological in nature and has 1271 completed 60 semester hours or 90 quarter hours of graduate 1272 study, in areas related to school psychology as defined by rule 1273 of the department, from a college or university which at the 1274 time the applicant was enrolled and graduated was accredited by 1275 an accrediting agency recognized and approved by the Council for 1276 Higher Education Accreditation or its successor organization 1277Commission on Recognition of Postsecondary Accreditationor from 1278 an institution thatwhichispublicly recognized asa member in 1279 good standing with the Association of Universities and Colleges 1280 of Canada. 1281 2. Has had a minimum of 3 years of experience in school 1282 psychology, 2 years of which must be supervised by an individual 1283 who is a licensed school psychologist or who has otherwise 1284 qualified as a school psychologist supervisor, by education and 1285 experience, as set forth by rule of the department. A doctoral 1286 internship may be applied toward the supervision requirement. 1287 3. Has passed an examination provided by the department. 1288 Section 32. Subsection (1) of section 490.006, Florida 1289 Statutes, is amended to read: 1290 490.006 Licensure by endorsement.— 1291 (1) The department shall license a person as a psychologist 1292 or school psychologist who, upon applying to the department and 1293 remitting the appropriate fee, demonstrates to the department 1294 or, in the case of psychologists, to the board that the 1295 applicant: 1296(a)Holds a valid license or certificate in another state1297to practice psychology or school psychology, as applicable,1298provided that, when the applicant secured such license or1299certificate, the requirements were substantially equivalent to1300or more stringent than those set forth in this chapter at that1301time; and, if no Florida law existed at that time, then the1302requirements in the other state must have been substantially1303equivalent to or more stringent than those set forth in this1304chapter at the present time;1305 (a)(b)Is a diplomate in good standing with the American 1306 Board of Professional Psychology, Inc.; or 1307 (b)(c)Possesses a doctoral degree in psychologyas1308described in s. 490.003and has at least 1020years of 1309 experience as a licensed psychologist in any jurisdiction or 1310 territory of the United States within the 25 years preceding the 1311 date of application. 1312 Section 33. Subsection (6) of section 491.0045, Florida 1313 Statutes, as amended by chapter 2016-80 and chapter 2016-241, 1314 Laws of Florida, is amended to read: 1315 491.0045 Intern registration; requirements.— 1316 (6) A registration issued on or before March 31, 2017, 1317 expires March 31, 2022, and may not be renewed or reissued. Any 1318 registration issued after March 31, 2017, expires 60 months 1319 after the date it is issued. The board may make a one-time 1320 exception from the requirements of this subsection in emergency 1321 or hardship cases, as defined by board rule, ifA subsequent1322intern registration may not be issued unlessthe candidate has 1323 passed the theory and practice examination described in s. 1324 491.005(1)(d), (3)(d), and (4)(d). 1325 Section 34. Subsections (3) and (4) of section 491.005, 1326 Florida Statutes, are amended to read: 1327 491.005 Licensure by examination.— 1328 (3) MARRIAGE AND FAMILY THERAPY.—Upon verification of 1329 documentation and payment of a fee not to exceed $200, as set by 1330 board rule, plus the actual cost ofto the departmentforthe 1331 purchase of the examination from the Association of Marital and 1332 Family Therapy Regulatory Board, or similar national 1333 organization, the department shall issue a license as a marriage 1334 and family therapist to an applicant who the board certifies: 1335 (a) Has submitted an application and paid the appropriate 1336 fee. 1337 (b)1. Has a minimum of a master’s degree with major 1338 emphasis in marriage and family therapy,or a closely related 1339 field from a program accredited by the Commission on 1340 Accreditation for Marriage and Family Therapy Education or from 1341 a Florida university program accredited by the Council for 1342 Accreditation of Counseling and Related Educational Programs,1343 and graduate courses approved by the Board of Clinical Social 1344 Work, Marriage and Family Therapy, and Mental Health Counseling 1345has completed all of the following requirements:1346a.Thirty-six semester hours or 48 quarter hours of1347graduate coursework, which must include a minimum of 3 semester1348hours or 4 quarter hours of graduate-level course credits in1349each of the following nine areas: dynamics of marriage and1350family systems; marriage therapy and counseling theory and1351techniques; family therapy and counseling theory and techniques;1352individual human development theories throughout the life cycle;1353personality theory or general counseling theory and techniques;1354psychopathology; human sexuality theory and counseling1355techniques; psychosocial theory; and substance abuse theory and1356counseling techniques. Courses in research, evaluation,1357appraisal, assessment, or testing theories and procedures;1358thesis or dissertation work; or practicums, internships, or1359fieldwork may not be applied toward this requirement.1360b.A minimum of one graduate-level course of 3 semester1361hours or 4 quarter hours in legal, ethical, and professional1362standards issues in the practice of marriage and family therapy1363or a course determined by the board to be equivalent.1364c.A minimum of one graduate-level course of 3 semester1365hours or 4 quarter hours in diagnosis, appraisal, assessment,1366and testing for individual or interpersonal disorder or1367dysfunction; and a minimum of one 3-semester-hour or 4-quarter1368hour graduate-level course in behavioral research which focuses1369on the interpretation and application of research data as it1370applies to clinical practice. Credit for thesis or dissertation1371work, practicums, internships, or fieldwork may not be applied1372toward this requirement.1373d.A minimum of one supervised clinical practicum,1374internship, or field experience in a marriage and family1375counseling setting, during which the student provided 180 direct1376client contact hours of marriage and family therapy services1377under the supervision of an individual who met the requirements1378for supervision under paragraph (c). This requirement may be met1379by a supervised practice experience which took place outside the1380academic arena, but which is certified as equivalent to a1381graduate-level practicum or internship program which required a1382minimum of 180 direct client contact hours of marriage and1383family therapy services currently offered within an academic1384program of a college or university accredited by an accrediting1385agency approved by the United States Department of Education, or1386an institution which is publicly recognized as a member in good1387standing with the Association of Universities and Colleges of1388Canada or a training institution accredited by the Commission on1389Accreditation for Marriage and Family Therapy Education1390recognized by the United States Department of Education.1391Certification shall be required from an official of such1392college, university, or training institution. 1393 2. If the course title thatwhichappears on the 1394 applicant’s transcript does not clearly identify the content of 1395 the coursework, the applicant shallbe required toprovide 1396 additional documentation, including, but not limited to, a 1397 syllabus or catalog description published for the course. 1398 1399 The required master’s degree must have been received in an 1400 institution of higher education that,whichat the time the 1401 applicant graduated, was:fully accredited by a regional 1402 accrediting body recognized by the Commission on Recognition of 1403 Postsecondary Accreditation or;publicly recognized as a member 1404 in good standing with the Association of Universities and 1405 Colleges of Canada,;or an institution of higher education 1406 located outside the United States and Canada,which, at the time 1407 the applicant was enrolled and at the time the applicant 1408 graduated, maintained a standard of training substantially 1409 equivalent to the standards of training of those institutions in 1410 the United States which are accredited by a regional accrediting 1411 body recognized by the Commission on Recognition of 1412 Postsecondary Accreditation. Such foreign education and training 1413 must have been received in an institution or program of higher 1414 education officially recognized by the government of the country 1415 in which it is located as an institution or program to train 1416 students to practice as professional marriage and family 1417 therapists or psychotherapists. The applicant has the burden of 1418 establishing that the requirements of this provision have been 1419 metshall be upon the applicant, and the board shall require 1420 documentation, such as, but not limited to,an evaluation by a 1421 foreign equivalency determination service, as evidence that the 1422 applicant’s graduate degree program and education were 1423 equivalent to an accredited program in this country. An 1424 applicant with a master’s degree from a program thatwhichdid 1425 not emphasize marriage and family therapy may complete the 1426 coursework requirement in a training institution fully 1427 accredited by the Commission on Accreditation for Marriage and 1428 Family Therapy Education recognized by the United States 1429 Department of Education. 1430 (c) Has had at least 2 years of clinical experience during 1431 which 50 percent of the applicant’s clients were receiving 1432 marriage and family therapy services, which must be at the post 1433 master’s level under the supervision of a licensed marriage and 1434 family therapist with at least 5 years of experience, or the 1435 equivalent, who is a qualified supervisor as determined by the 1436 board. An individual who intends to practice in Florida to 1437 satisfy the clinical experience requirements must register 1438 pursuant to s. 491.0045 before commencing practice. If a 1439 graduate has a master’s degree with a major emphasis in marriage 1440 and family therapy or a closely related field whichthatdid not 1441 include all of the coursework required by subparagraph (b)1. 1442undersub-subparagraphs (b)1.a.-c., credit for the post-master’s 1443 level clinical experience mayshallnot commence until the 1444 applicant has completed a minimum of 10 of the courses required 1445 by subparagraph (b)1.undersub-subparagraphs (b)1.a.-c., as 1446 determined by the board, and at least 6 semester hours or 9 1447 quarter hours of the course credits must have been completed in 1448 the area of marriage and family systems, theories, or 1449 techniques. Within the 23years of required experience, the 1450 applicant shall provide direct individual, group, or family 1451 therapy and counseling,toinclude the following categories of1452 cases including those involving:unmarried dyads, married 1453 couples, separating and divorcing couples, and family groups 1454 that includeincludingchildren. A doctoral internship may be 1455 applied toward the clinical experience requirement. A licensed 1456 mental health professional must be on the premises when clinical 1457 services are provided by a registered intern in a private 1458 practice setting. 1459 (d) Has passed a theory and practice examination provided 1460 by the departmentfor this purpose. 1461 (e) Has demonstrated, in a manner designated by board rule 1462of the board, knowledge of the laws and rules governing the 1463 practice of clinical social work, marriage and family therapy, 1464 and mental health counseling. 1465(f)1466 1467 For the purposes of dual licensure, the department shall license 1468 as a marriage and family therapist any person who meets the 1469 requirements of s. 491.0057. Fees for dual licensure mayshall1470 not exceed those stated in this subsection. 1471 (4) MENTAL HEALTH COUNSELING.—Upon verification of 1472 documentation and payment of a fee not to exceed $200, as set by 1473 board rule, plus the actual per applicant cost ofto the1474department forpurchase of the examination from the National 1475 Board for Certified Counselors or its successorProfessional1476Examination Service for the National Academy of Certified1477Clinical Mental Health Counselors or a similar national1478 organization, the department shall issue a license as a mental 1479 health counselor to an applicant who the board certifies: 1480 (a) Has submitted an application and paid the appropriate 1481 fee. 1482 (b)1. Has a minimum of an earned master’s degree from a 1483 mental health counseling program accredited by the Council for 1484 the Accreditation of Counseling and Related Educational Programs 1485 whichthatconsists of at least 60 semester hours or 80 quarter 1486 hours of clinical and didactic instruction, including a course 1487 in human sexuality and a course in substance abuse. If the 1488 master’s degree is earned from a program related to the practice 1489 of mental health counseling whichthatis not accredited by the 1490 Council for the Accreditation of Counseling and Related 1491 Educational Programs, then the coursework and practicum, 1492 internship, or fieldwork must consist of at least 60 semester 1493 hours or 80 quarter hours and meet all of the following 1494 requirements: 1495 a. Thirty-three semester hours or 44 quarter hours of 1496 graduate coursework, which must include a minimum of 3 semester 1497 hours or 4 quarter hours of graduate-level coursework in each of 1498 the following 11 content areas: counseling theories and 1499 practice; human growth and development; diagnosis and treatment 1500 of psychopathology; human sexuality; group theories and 1501 practice; individual evaluation and assessment; career and 1502 lifestyle assessment; research and program evaluation; social 1503 and cultural foundations; substance abuse; and legal, ethical, 1504 and professional standards issues in the practice of mental 1505 health counselingin community settings; and substance abuse. 1506 Courses in research, thesis or dissertation work, practicums, 1507 internships, or fieldwork may not be applied toward this 1508 requirement. 1509 b. A minimum of 3 semester hours or 4 quarter hours of 1510 graduate-level coursework addressing diagnostic processes, 1511 including differential diagnosis and the use of the current 1512 diagnostic tools, such as the current edition of the American 1513 Psychiatric Association’s Diagnostic and Statistical Manual of 1514 Mental Disorders. The graduate program must have emphasized the 1515 common core curricular experiencein legal, ethical, and1516professional standards issues in the practice of mental health1517counseling, which includes goals, objectives, and practices of1518professional counseling organizations, codes of ethics, legal1519considerations, standards of preparation, certifications and1520licensing, and the role identity and professional obligations of1521mental health counselors. Courses in research, thesis or1522dissertation work, practicums, internships, or fieldwork may not1523be applied toward this requirement. 1524 c. The equivalent, as determined by the board, of at least 1525 7001,000hours of university-sponsored supervised clinical 1526 practicum, internship, or field experience that includes at 1527 least 280 hours of direct client services, as required in the 1528 accrediting standards of the Council for Accreditation of 1529 Counseling and Related Educational Programs for mental health 1530 counseling programs. This experience may not be used to satisfy 1531 the post-master’s clinical experience requirement. 1532 2. Has provided additional documentation if athecourse 1533 title thatwhichappears on the applicant’s transcript does not 1534 clearly identify the content of the coursework.,Theapplicant1535shall be required to provide additionaldocumentation must 1536 include,including,but is not limited to, a syllabus or catalog 1537 description published for the course. 1538 1539 Education and training in mental health counseling must have 1540 been received in an institution of higher education that,which1541 at the time the applicant graduated, was:fully accredited by a 1542 regional accrediting body recognized by the Council for Higher 1543 Education Accreditation or its successor organization or 1544Commission on Recognition of Postsecondary Accreditation;1545 publicly recognized as a member in good standing with the 1546 Association of Universities and Colleges of Canada,;or an 1547 institution of higher education located outside the United 1548 States and Canada,which, at the time the applicant was enrolled 1549 and at the time the applicant graduated, maintained a standard 1550 of training substantially equivalent to the standards of 1551 training of those institutions in the United States which are 1552 accredited by a regional accrediting body recognized by the 1553 Council for Higher Education Accreditation or its successor 1554 organizationCommission on Recognition of Postsecondary1555Accreditation. Such foreign education and training must have 1556 been received in an institution or program of higher education 1557 officially recognized by the government of the country in which 1558 it is located as an institution or program to train students to 1559 practice as mental health counselors. The applicant has the 1560 burden of establishing that the requirements of this provision 1561 have been metshall be upon the applicant, and the board shall 1562 require documentation, such as, but not limited to,an 1563 evaluation by a foreign equivalency determination service, as 1564 evidence that the applicant’s graduate degree program and 1565 education were equivalent to an accredited program in this 1566 country. Beginning July 1, 2025, an applicant must have a 1567 master’s degree from a program that is accredited by the Council 1568 for Accreditation of Counseling and Related Educational Programs 1569 which consists of at least 60 semester hours or 80 quarter hours 1570 to apply for licensure under this paragraph. 1571 (c) Has had at least 2 years of clinical experience in 1572 mental health counseling, which must be at the post-master’s 1573 level under the supervision of a licensed mental health 1574 counselor or the equivalent who is a qualified supervisor as 1575 determined by the board. An individual who intends to practice 1576 in Florida to satisfy the clinical experience requirements must 1577 register pursuant to s. 491.0045 before commencing practice. If 1578 a graduate has a master’s degree with a major related to the 1579 practice of mental health counseling whichthatdid not include 1580 all the coursework required under sub-subparagraphs (b)1.a. and 1581 b.(b)1.a.-b., credit for the post-master’s level clinical 1582 experience mayshallnot commence until the applicant has 1583 completed a minimum of seven of the courses required under sub 1584 subparagraphs (b)1.a. and b.(b)1.a.-b., as determined by the 1585 board, one of which must be a course in psychopathology or 1586 abnormal psychology. A doctoral internship may be applied toward 1587 the clinical experience requirement. A licensed mental health 1588 professional must be on the premises when clinical services are 1589 provided by a registered intern in a private practice setting. 1590 (d) Has passed a theory and practice examination provided 1591 by the department for this purpose. 1592 (e) Has demonstrated, in a manner designated by board rule 1593of the board, knowledge of the laws and rules governing the 1594 practice of clinical social work, marriage and family therapy, 1595 and mental health counseling. 1596 Section 35. Paragraph (b) of subsection (1) of section 1597 491.006, Florida Statutes, is amended to read: 1598 491.006 Licensure or certification by endorsement.— 1599 (1) The department shall license or grant a certificate to 1600 a person in a profession regulated by this chapter who, upon 1601 applying to the department and remitting the appropriate fee, 1602 demonstrates to the board that he or she: 1603 (b)1. Holds an active valid license to practice and has 1604 actively practiced the licensed professionfor which licensure1605is appliedin another state for 3 of the last 5 years 1606 immediately preceding licensure;.16072.Meets the education requirements of this chapter for the1608profession for which licensure is applied.1609 2.3.Has passed a substantially equivalent licensing 1610 examination in another state or has passed the licensure 1611 examination in this state in the profession for which the 1612 applicant seeks licensure; and.1613 3.4.Holds a license in good standing, is not under 1614 investigation for an act that would constitute a violation of 1615 this chapter, and has not been found to have committed any act 1616 that would constitute a violation of this chapter. 1617 1618 The fees paid by any applicant for certification as a master 1619 social worker under this section are nonrefundable. 1620 Section 36. Subsection (3) of section 491.007, Florida 1621 Statutes, is amended to read: 1622 491.007 Renewal of license, registration, or certificate.— 1623(3)The board or department shall prescribe by rule a1624method for the biennial renewal of an intern registration at a1625fee set by rule, not to exceed $100.1626 Section 37. Subsection (2) of section 491.009, Florida 1627 Statutes, is amended to read: 1628 491.009 Discipline.— 1629 (2) The boarddepartment,or, in the case of certified 1630 master social workerspsychologists, the departmentboard,may 1631 enter an order denying licensure or imposing any of the 1632 penalties authorized in s. 456.072(2) against any applicant for 1633 licensure or any licensee who violatesis found guilty of1634violating any provisionofsubsection (1)of this sectionorwho1635is found guilty of violating any provision ofs. 456.072(1). 1636 Section 38. Subsection (2) of section 491.0046, Florida 1637 Statutes, is amended to read: 1638 491.0046 Provisional license; requirements.— 1639 (2) The department shall issue a provisional clinical 1640 social worker license, provisional marriage and family therapist 1641 license, or provisional mental health counselor license to each 1642 applicant who the board certifies has: 1643 (a) Completed the application form and remitted a 1644 nonrefundable application fee not to exceed $100, as set by 1645 board rule; and 1646 (b) Earned a graduate degree in social work, a graduate 1647 degree with a major emphasis in marriage and family therapy or a 1648 closely related field, or a graduate degree in a major related 1649 to the practice of mental health counseling; and 1650 (c)HasMet the following minimum coursework requirements: 1651 1. For clinical social work, a minimum of 15 semester hours 1652 or 22 quarter hours of the coursework required by s. 1653 491.005(1)(b)2.b. 1654 2. For marriage and family therapy, 10 of the courses 1655 required by s. 491.005(3)(b)1.s. 491.005(3)(b)1.a.-c., as 1656 determined by the board, and at least 6 semester hours or 9 1657 quarter hours of the course credits must have been completed in 1658 the area of marriage and family systems, theories, or 1659 techniques. 1660 3. For mental health counseling, a minimum of seven of the 1661 courses required under s. 491.005(4)(b)1.a.-c. 1662 Section 39. Subsection (11) of section 945.42, Florida 1663 Statutes, is amended to read: 1664 945.42 Definitions; ss. 945.40-945.49.—As used in ss. 1665 945.40-945.49, the following terms shall have the meanings 1666 ascribed to them, unless the context shall clearly indicate 1667 otherwise: 1668 (11) “Psychological professional” means a behavioral 1669 practitioner who has an approved doctoral degree in psychology 1670 as defined in s. 490.003(3)s. 490.003(3)(b)and is employed by 1671 the department or who is licensed as a psychologist pursuant to 1672 chapter 490. 1673 Section 40. This act shall take effect July 1, 2020.